So, as we're going through this area, the first rib and cervical thoracic junction affecting the thoracic inlet area, we had a case in the beginning, and as we've gone through the whole process, we realized in this whole case, what does it illustrate? So when we're teaching a case, we want to make sure we have a summary back to things. And with this, we want to make sure that, myself here, we tell them what we're illustrating. So here again, when we present it to them, we're saying, you know, what does it illustrate for themselves, and look at the diagnosis. So the person that we presented, themselves, looked at thoracic outlet syndrome, and that was because that was a model kind of condition that we would see in this area. So, and they looked to see, you know, what assessment tests are needed, and that was one of the questions we asked. And the absence maneuver, which we had a chance to go through in different ways, and that's the way we could reproduce symptoms, do that provocative test to diagnose thoracic outlet. The other things we looked at is we saw what findings we found on the exam. When we did the exam, they described a cervical thoracic junction. They said it looks like that first rib area was rotating side bend to the right. And so those areas, themselves, you could treat. Also T5, still on the left. So they identified somatic dysfunction, and these are things you commonly see in someone who has thoracic outlet syndrome. So when you're presenting cases and developing, you want to make sure it's something that they would commonly see, I'd recommend probably not making things zebras, but making things so you don't fall into all the things you're teaching. So one of the goals in teaching this was to look at problems in the cervical thoracic area with that first rib, and we identified the thoracic outlet, do that, do a common findings you might find with that person, and then look and say, you know, what kind of things would you expect indicated to help with that? And with this patient, it'd be soft tissue, muscle energy, myofascial release techniques, everything we went through. So give the learner a chance to say what things you'd like to do, and going through it, and why, and get interactive things themselves. The only thing is, it is always good with any case, though, to always add something in, you know, that unresponsive conservative therapy may require consultation, and again, you know, as physicians, that's a standard rule. If we're doing things and we're not getting results, you know, go to the next level in doing it, and that's very important. So again, we went through everything today. We looked at clinically relevant functional anatomy. We talked about how these transition areas were important in looking at it. We looked at how it also impacted the lymphatics, and that the associated with the diaphragms, and the respiratory circulatory model. We also looked at that thoracic outlet clinically, what's going on with it. We also had a chance to go through AdSense maneuvers, both method one and method two, the Halstead and the reverse AdSense maneuver to help diagnose that. We looked at a way to diagnose using a model, a model of trying to look at driving a car. We looked at rotation by steering a wheel, side bending was the same as driving, pressing on the gas, side bend right, and pressing on the brakes, side bend left, to help diagnose which direction we're going. Treating it, we went through some general soft tissue techniques, kind of a forward flexion. We talked about the X technique that was approached that, and we could add a muscle energy variation, and also trapezius pinch, another soft tissue technique that has kind of a direct myofascial release approach and inhibition. And then we went through a whole model to try to look at, to make it simplify that myofascial release, so that we created a model and said, look, we're going to steer right, we're going to steer left. Steer right, we're going to rotate the side bend to the right, we're going to turn the wheel to the right, step on the gas, we're going to steer left, we're going to turn the wheel to the left, we're going to step on the brakes. We do that 10 seconds in each direction, three times, and then again. We treat, we assess something, we treat it, we reassess it. So I think we've given ourself, you know, some key points. Again, we saw that this is a common area, that it's important anatomical areas themselves. We went through some of the maneuvers we've had, and we went through the most common maneuver to treat that. We went through everything we went with driving the car, for example, for myofascial release, and these are common things that we can treat. So again, we've had the opportunity to review all the basic concepts with the first rib, cervical-thoracic junctions, how we're approaching everything in the thoracic and lid area themselves, and we have an opportunity, I think now, to have a better way of managing this condition.

thoracic outlet syndrome

diagnostic maneuvers

treatment techniques

clinical anatomy

interactive methods